...February 2, 2014 To: Mr. William Harkey From: Natalie N. Painter Subject: Research Analysis Two articles selected for review derive from The Journal of Perinatal Education. The first article I read was titled, “Evidence Based Maternity Care: Can New Dogs Learn Old Tricks?” It was written by Merilyn Curl. Curl is a Certified Nurse Midwife, Lamaze Certified Childbirth Educator, and a Fellow of the American College of Childbirth Educators. The article illustrates the efforts of reform applied to the founding cultures and purpose given to a modern day Certified Nurse Midwife. Assessing the Situation She begins unfolding her story at the time of hire with a concise perspective of the culture and practices of the community hospital she worked for. Curl describes the time old “Nursing Process” as assessing the situation, making a plan, then finally evaluating the outcome. She follows this same progression in her attempt to restructure nursing practices at this community hospital. She very clearly presents her personal experience as what practices (whether or not they were best practices) she was seeing in the nursing community verses research based best nursing practice. One piece of evidence she presents for this is how “This meant that labor nurses were assigned only one patient allowing the time to provide continuous labor support. Despite strong encouragement to remain at the bedside, most nurses remained tethered to the central monitoring station” (p.235). This...
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...Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine is becoming more and more prevalent in the healthcare world as an acceptable treatment modality. Due to increase in patient demand for these treatments, it is important for the nurses to be able to implement various CAM into their nursing practice to provide holistic care for their patients. It is also important for nurses to be knowledgeable about the various forms of therapy and its benefits. CAM is meeting the needs of many consumers due to various reasons. The increase in healthcare cost has encouraged many consumers to research alternative methods to help cope with various medical conditions as opposed to turning to the pharmacological methods that were typically accepted years ago. Consumers also have more access to new trials and studies in regards to CAM because of increased access to the internet and media. Because of this, patients are more involved in their own healthcare and treatment decisions than in the previous years. According to the National Center of Complementary and Alternative Medicine, 1 in 4 adults from various backgrounds are currently using CAM therapies. (“The use of, 2011) Some of the most common medical reasons patients decide to try CAM therapies are problems with anxiety and depression, reoccurring nausea and pain related to cancer, and symptom management related to...
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...influence on the birthing practices of Somali women. These birthing practices vary from typical American birth practices in a variety of ways, including beliefs regarding cesarean sections, preferences for female care providers, issues surrounding infibulation, lack of prenatal care and education, religious influences, and views on pain, among a variety of other issues. It is important for nurses to be aware of cultural differences in order to provide culturally competent care to all women. Somalia is a country located on the horn of Africa. All Somalis share a uniform language, religion, and culture, unlike most parts of Africa. It is common for women to marry at a young age, and the ability to have many children is highly valued. It is estimated that the maternal mortality rate is 1,400 per 100,000 women, one of the highest in the world. Somalia’s lack of medical care during pregnancy and delivery contributes to their high infant and maternal mortality rates. The experience of pregnancy and the labor and delivery process in Somalia differs in many ways from that of women in the United States. It is important that health care providers in the United States are aware of these differences because 32% of the refugees in the U.S. are from Somalia, so it is likely that providers will care for a Somali female at some point in their careers. In Somalia, cesarean sections are rarely discussed and typically not performed (Ameresekere, et al., 2011). Somali women also feel that the entire...
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...I knew that television and movies would always exaggerate scenes to captures people’s attention. However, I did not think that the birth scenes were not accurate. I always thought that the pain and agony was something that every woman would experience when they are giving birth to a child. In fact due to the portrayal of the deliveries in movies, I was somewhat sacred to consider giving birth to children. People would always ask me if I was interested in having children, but because of the movie portrayal I would say I was uncertain. I am glad that she did this interview and made this movie to show what a real childbirth experience is like, because now I know that the child birth experience varies from person to person. Therefore, I may...
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...chiropractic, meditation, kineseology, homeopathic supplements, sound healing and holistic massage therapy, and energy medicine to awaken, heal, and transform from the inside out. Lotus of Light is global wellness boutique that use holistic massage, acupuncture, chiropractic, and many other alternatives to help people reach optimal person health and wellness. The practitioners at Lotus of Light “are committed to bringing balance, wellness, and less pain through the wonderful world of therapeutic massage and other natural healing modalities” (Duffy, 2009). Lotus of Light is also committed to teaching their techniques to individuals who are seeking to learn and practice natural medicine. DONA birth doula training is one of the many training class the author found interesting. Debbie Lavin has been a doula since 1989 and has years of experience within hospitals, teaching childbirth classes, and being apart of families at home births. “It is my belief that our role as birth professionals is to provide pregnant women and their partners with evidence based, non-judgmental information and to foster self determination and confidence” (Lavin, 2009). This is an amazing alternative to the...
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...Obstetric Anecdotal Assignment G.D. Leilani Fuller N250: Obstetric and Pediatric Nursing Professor Gahan El Camino College May 14, 2013 Obstetric History G.D. In the midst of an empty Labor and Delivery floor on May 9, 2013, there was a lone laboring mother-to-be with the name of G.D. This individual was of Hispanic descent, Costa Rican to be exact, and was a twenty-five year old female with a religious background in Catholicism. G.D. was in room 10 and eagerly anticipated the vaginal birth of her first child, as were her husband’s parents’ for their first grandchild. She had been laboring since her admission at midnight on May 8, 2013. While G.D. is technically a gravida 2, she is only para 1 as she had an elective abortion in 2009. When the room was empty, all that G.D. had to say about this abortion was that the timing was not right in her life for a child then and now she is prepared to be a mother with her new husband at her side. While G.D. originally planned to labor in the most natural manner possible despite being induced, she quickly changed her mind and accepted the epidural. According to Talbot (2012), the labor pain G.D. was experiencing was based on several factors such as cultural, psychological and physiological. She tried to maintain a natural labor with no rush in delivery as is common with Central American countries like Costa Rica, however this fetus called for a more immediate delivery. She had plans to breastfeed once this baby...
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...Medically Elective Caesarean Deliveries; Risks vs. Benefits Jason LeBeaú College of Du Page County Complex Medical Surgical/Leadership Nursing NUR206 17 October 2012 Medically Elective Caesarean Deliveries; Risks vs. Benefits Introduction Women have been giving birth for millions of years. Before the advent of technology, women just instinctively knew when it was time to give birth and their bodies did the rest. They trusted that their bodies were meant for this purpose. Midwives and village elders would come to be with the laboring mother and to help her through the process. Vaginal birth was not only considered the normal way of birth, it was also the only way of birth. Vaginal birth is no longer the only choice when it comes to delivering a baby. Cesarean deliveries (CDs) are now a lifesaving strategy. CD is a surgical procedure in which a doctor in an operating room makes an incision through the mother’s abdomen and down to the uterus. The baby is removed from the uterus and the uterus and abdomen are then closed with sutures. This takes place while the mother is awake and made numb from the waist down by either a spinal or epidural anesthetic. In emergency situations, a general anesthetic is used and the mother is put to sleep and is unconscious for the procedure. CDs were originally used to save the life of the mother, save the life of the baby or when a vaginal delivery wasn’t possible. Since the birth of CDs, they are now performed for...
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...Darwin's work, but David Buss incorporates the ideas that the psychological aspects rely on natural selection as well. Our selection of mates, behavior, our social skills , and many other functions are derived from the “survival of the fittest.” Evolutionary Psychology- A branch of psychology that emphasizes the importance of adoption, reproduction, and “survival of the fittest” in shaping behavior Evolutionary Developmental Psychology It is believed that there is a extended period in childhood that is needed due to the evolving of the human brain. This time is allotted to allow the brain to learn the complexities of the human society. Evolution and Life-Span Development If it is “Survival of the fittest”, why does the human race tend to live selection is just to dissipate the bad characteristics of reproduction....
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...Organizational Commitment and Communication Sarah Harris COM/530 April 2, 2012 Brent Smith Organizational Commitment and Communication Leadership is primarily expected from managers but at Google, employees themselves take on an active leadership role in the organization. At Google, there is no one right leadership styles. Different leadership styles are used based on the situation. The varying leadership styles encourage and promote employee involvement, problem solving, and decision making. The type of communication that develops between management and the employees is controlled by the leadership style and is the basis for everything that happens at Google. Leadership Styles Affect on Group Communication Leadership styles affect communication; they can slow down the process or distort the information employees need to do their jobs. Participative, visionary, and transformational leadership styles tend to promote openness and encourage creativity, innovation, and ideas. Charismatic leadership, tends to inhibit group communication that does not promote the leader’s idea and autocratic leadership ignores communication altogether. Transformational leadership promotes communication because the success depends on the creation of a shared vision. This shared vision is accomplished by effective communication of goals and ways to achieve them. This communication also motivates and adds enthusiasm to the group (Robbins & Judge, 2011). Transformational style leadership...
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...painting and drawing, and he exhibited his water-color skill in Sydney and Melbourne. Annand's linear style often used simple color to create dramatic effect. He once said that " The strongest paintings placed ambiguous perspective and compressed forms in a symbolic relationship, and united them with landscape to form a framing but secondary aspect of the composition". (S. Ure Smith (ed), Douglas Annand (Syd, 1944)) Annand's works was influenced by Paul Nash (a British artist). Annand really have some influence from Paul Nash Fabrics. Annand started to use fabrics in many of his artworks such as a series of cover design that he produced for The Home magazine. The material was in the background are mostly fabrics. Nash is one of the most important artists of the first half of the twentieth century and he very popular in 1910s to 1940s.Nash is recognized for his work as a war artist, he created some of the most memorable images of First War and Second World Wars. (Tate Liverpool: Exhibition 23 July – 19 October 2003) Figure 3: Domestic architecture, Townsville, N.Q. Source: http://nga.gov.au/annand/large/passion2.htm As a designer that lived in northern Australia during the Second World War. Douglas Annand found a way to capture moment and show his passion of art through drawing environment, building, and people when he flew over the land and sea. And “Domestic Architecture” is a great drawing of an old Queensland house. Annand has captured all the detail...
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...Halmstad University School of Business and Engineering Master Programme in International Marketing How is a Cement company working with maketing within the construction industry? - A case study on an ambitious cement company Authors: Jing Li Petter Schultz Supervisor: Svante Andersson Acknowledgement This thesis would not have been possible without the support from many people. Firstly, we would like to thank Mr. Ronny Andersson, market development manager at Cementa and professor in Structural Engineering at Lund University, for the interview and to Mr. Jan Gånge for getting us in touch with Ronny. Thanks to Mr. Svante Andersson, our supervisor, for your patience and the useful guidance. At last, we would like to give our appreciation to our families and friends for going through the whole process together with us. 2 Abstract The object of this thesis is to provide some ideas as to whether it is possible for a company to create value for every segment within the construction industry. The motivation of the thesis is to shed some light on an area, which gets very little attention in marketing literature, which is the B2B commodity industry. The company studied is Cementa, a Cement producer at core, but with the ambition to be a player in every segment throughout the construction industry. They have developed their own model to represent the different segments. The company is considered an interesting and rewarding object for a case study due to this remarkably...
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...Week 1 Speak with your doctor about adding a prenatalmultivitamin to your morning routine. At least 400 micrograms of folic acid every day can help prevent certain birth defects that affect your baby's brain, heart, and spinal cord, especially if you take it before you conceive and in the early weeks of your pregnancy. See that your supplements contain added goodies like calcium, iron, and Vitamin B12 as well. Week 2 Right now, you're just dying to find out: Am I pregnant or not? Unfortunately, you'll need to stick it out a bit longer. About four days after your egg is fertilized, it begins producing a hormone called human chorionic gonadotropin (HCG), which pregnancy tests can detect in about another week -- first in your blood (via a test at your doctor's office) and then in your urine (which an at-home screening would spot). Week 3 Get yourself a good doctor -- pronto! Having a healthcare provider you like and trust is key. After all, this is the person who will guide you through your entire pregnancy, labor, and delivery, along with the millions of questions, tests, and emotional ups and downs along the way. If you don't currently have an ob-gyn you love, ask friends, family, and coworkers for recommendations or research practices until you find someone you feel comfortable with. And, hey, your choices are not limited to regular obstetricians. You might also want to investigate alternative or additional types of care -- including midwives or family physicians Week...
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...judgment. But there may be some mistakes due to various limitations. Therefore, we beg your kind consideration in this regard. Any kind of suggestion and clarification will be accepted cordially. Your kind advice will encourage us to perform better Project work in future. Yours sincerely, Sifat Afrin (07204009) Tamanna Lutfa (07204012) Sadia Afrose (07204033) Md. Khaleduzzaman Sowrav (07204005) EXECUTIVE SUMMERY To make the customers satisfied and maintain the long lasting relationship with the customers are the main things to exist in the business world successfully but to make customers satisfied is the most difficult thing for a company because almost everyday people are getting new products and that is why their expectation regarding the products become high day by day. It does not mean that we are not able to fulfill their expectations but we should always try to think about new ways to make them satisfied by knowing what they want, what they try to get from any particular product. But now a day no consumer is satisfied with only the quality product....
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...interviewers, and admissions staff and officers at Stanford Medical School as well as dozens of other medical schools across the country. We must emphasize that you need to be honest in writing your personal statements. If you borrow material or use quotes from other sources, make sure to credit them appropriately. Not giving credit where it is due is not only disastrous to your essay, but it is also illegal. Admissions officers read hundreds, and even thousands of personal statements each year, and have developed a fine tune sense for detecting plagiarism as well as remembering the essays they’ve read. You owe it to yourself to be hones, open, and sincere in writing your personal essay as it is a reflection of yourself and what is important in your life and your decision to pursue a career in medicine. Stanford Essays The following essays were written by real Stanford medical students in preparing their applications. We suggest that you read through all of the essays to get a diverse view of the types of themes and styles which have been successfully used for personal statements. Each personal statement is exactly that, personal. No one format or style will work for everyone. However, there are structures and themes which are common throughout. These essays are meant to give you an in depth look inside previous applicants’ writing and what has gone into their decisions to enter the field of medicine. All essays are presented in their original format, unaltered. ...
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...POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Donna E. Stewart, MD, FRCPC E. Robertson, M.Phil, PhD Cindy-Lee Dennis, RN, PhD Sherry L. Grace, MA, PhD Tamara Wallington, MA, MD, FRCPC ©University Health Network Women’s Health Program 2003 Prepared for: Toronto Public Health October 2003 Women’s Health Program Financial assistance by Health Canada Toronto Public Health Advisory Committee: Jan Fordham, Manager, Planning & Policy – Family Health Juanita Hogg-Devine, Family Health Manager Tobie Mathew, Health Promotion Consultant – Early Child Development Project Karen Wade, Clinical Nurse Specialist, Planning & Policy – Family Health Mary Lou Walker, Family Health Manager Karen Whitworth, Mental Health Manager Copyright: Copyright of this document is owned by University Health Network Women’s Health Program. The document has been reproduced for purposes of disseminating information to health and social service providers, as well as for teaching purposes. Citation: The following citation should be used when referring to the entire document. Specific chapter citations are noted at the beginning of each chapter. Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Table of Contents EXECUTIVE SUMMARY 2 OVERALL METHODOLOGICAL FRAMEWORK 5 CHAPTER 1: RISK FACTORS FOR...
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